Individual
LISA R. MANCL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 685-4692
(206) 543-5771
Mailing address
PO BOX 24366, SEATTLE, WA 98124-0366
(206) 598-0502
(206) 598-0516
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
LD00002371
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
77384U
REGENCE BLUESHIELD
WA
05
—
8341711
—
WA
Enumeration date
07/24/2006
Last updated
10/12/2007
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